فهرست مطالب

International Journal of Medical Reviews
Volume:4 Issue: 1, Winter 2017

  • تاریخ انتشار: 1396/01/30
  • تعداد عناوین: 7
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  • Mohammad Hosein Amirzade-Iranaq, Mohammad Hossein Khosravi Pages 1-2
    Healthcare personnel is a term to define all those working in healthcare settings. These personnel are in high risk for exposure to infectious materials [e.g. blood, tissue, specific body fluids and medical supplies, equipment or environmental surfaces contaminated with the infectious substances]. The principle for infection control is to control iatrogenic nasocomial infections among patients and potential occupational exposure of care providers to disease causing microbes during provision of care. The term "Disease Control" or "Infection Control" does not mean total prevention of iatrogenic nasocomial infections or occupational exposure to blood and other potentially infectious materials, it only means reducing the risks of diseases.
  • Marta Valentim, JosÉ Ramalhos., Oacute, Nia Almeida, Ana Gameiro Pages 3-6
    Budd-Chiari syndrome (BCS) is an obstruction of hepatic venous flow at any level, from small hepatic veins to the junction of the inferior cava vein and the right atrium. Studies report that BCS is associated with prothrombosis. The authors present a review of the topic based on a case report of BCS where several risk factors are involved. These factors were genetic, such as mutation of the plasminogen activator inhibitor with 4G polymorphism and acquired, such as ulcerative colitis and oral contraceptives.
    Keywords: Budd-Chiari Syndrome, Colitis, Ulcerative, Thrombophilia, Contraceptives, Oral
  • Mehdi Riahifar, Seyed Mojtaba Hosseini, Amir Pirouzian, Ali Ayoubian Pages 7-16
    Introduction
    Supplemental health insurance is designed to fill the cost gap and service of basic health insurance. The need for supplemental health insurances is inevitable considering the increasing treatment cost on the one hand, and the impossibility of appropriate coverage of all basic services on the other hand. Supplemental health insurances are considered to be optional and provided in a group and, if desired, can be extended to the end of life. The aim of this study was to investigate mechanisms reducing dependence on government with regard to supplemental health insurance and provide high-quality and standard services in the country.
    Methods
    This research was conducted using a library method, in which the required information was collected through valid domestic and foreign sources and the Internet.
    Results
    The present study investigated status of treatment insurance and the related problems in Iran. Iran’s health status was assessed by investigating the health indicators offered by the World Health Organization. To improve health status and supplemental health insurance, strategies were offered in 20 paragraphs by reviewing the patterns and models presented in the previous studies.
    Conclusion
    According to the present study, it is recommended to offer various insurance packages considering the age, gender, health status of individuals, geographical status, literacy level, income level, employment status etc.
    Keywords: Treatment Insurance, Supplemental Health Insurance, Gross Domestic Product, Health System, Iran
  • Taiwo Akhigbe, Ardalan Zolnourian Pages 17-21
    Introduction
    Disclosure of errors to patients has long been fully endorsed by professional organizations and bioethicists because of its respect for patient autonomy, enhances informed decision-making and upholds the physician decision to tell the truth. Wrong site craniotomy have massive effects on both the patients and the surgeons. The purpose of this review was to apply moral philosophical analysis to this delicate and important issue that will for sure continually confront neurosurgeons in practice.
    Methods
    A comprehensive selected literature search was performed to establish evidence for informed and evidenced based discussion including the current literature relating to wrong-site craniotomy error disclosure. A total of 232 articles were gathered, but after removing duplicates, editorial comments and correspondences, only two articles met the criteria.
    Results
    In terms of the quality of the gathered evidence, only peer reviewed papers reached the limit. Generally, there is paucity of literature in the ethics of wrong site craniotomy. As a result, only two articles met the criteria (Cohen and Wu et al.).
    Conclusion
    Deontology strongly believed that all major accidental errors which occur when facing patients should be disclosed. This is due to the fact that surgeons are duty-bound to do the right thing including not lying, respecting patients’ dignity, practicing beneficence, sympathy and acting with gratitude and conscience without arrogance.
    Keywords: Deontology, Truth Disclosure, Ethical Dilemma, Craniotomy
  • Parveen Sultana Shaik, Srinivas Pachava Pages 22-31
    Introduction
    Nutritional guidance is one of the very important components of preventive dentistry today. To prevent oral, dental and craniofacial diseases, one approach is having a suitable diet. Hence, the aim of this review was to provide a concise, didactic update on the role of vitamin and trace elements on various aspects of oral health and diseases.
    Methods
    Literature search was carried out electronically through Google scholar, Pubmed and Ebsco data base and there was no time frame limitation set for the year of article published.
    Results
    Out of 38 articles, 14 were Epidemiological studies followed by 11 Narrative reviews, 6 Systematic reviews, 4 Randomised control trail, 2 Systematic reviews with meta-analysis and 1 Meta-analysis.
    Conclusion
    Diet containing vitamins and trace elements play an important role in normal health of the oral structures and these deficiencies can cause oral diseases such as developmental defects, oral mucosal diseases and periodontal diseases. Dietary recommendations made to aid in the control of oral disease are simultaneously optimal recommendations for improving general health.
    Keywords: Vitamins, Trace Elements, Oral Health, Dental Caries, Mouth Neoplasms, Periodontitis
  • Taiwo Akhigbe, Ardalan Zolnourian, Saadi Fahad Pages 32-36
    Introduction
    Cost-effectiveness of medical intervention is becoming increasingly important in healthcare delivery. Treatment in neurosurgery is extremely expensive and there have been very few publications on neurosurgical health economics and comparative effectiveness analysis of neurosurgical procedures. Previous studies which had compared the costs of clipping and coiling were held out in European centers with data specifically from the ISAT study conducted in Europe. No significant differences were seen in the total cost of coiling when compared to clipping in a time period of one year.
    Methods
    A systematic literature search was conducted using electronic databases including MEDLINE and EMBASE. The inclusion criteria included the literature search limited to the last 10 years (2006-2016), studies on adult human patients, and papers published in English. All editorials, comments and correspondences were excluded from this study.
    Results
    Systematic literature search yielded 5784 studies. After removing duplicates and non-relevant studies, finally five studies had specifically analyzed cost economics of coiling and clipping of intracranial aneurysm. Overall, coiling was more expensive than clipping in three studies. The study which was conducted by Wolsteholme et al. showed no significant differences between the two procedures in terms of their costs.
    Conclusion
    Cost evaluations of intracranial aneurysm showed that surgical clipping results to reduced re-operation rate when compared to endovascular coiling, associated with increased complications, longer hospital stays and ultimately greater hospital costs.
    Keywords: Cost-Effectiveness, Intracranial Aneurysm, Endovascular Coiling, Surgical Clipping
  • Mohsen Saberi Isfeedvajani Pages 37-38
    The preferred reporting system of systematic review articles is PRISMA statement.1, 2 While reviewing the archive of the IJMR in the journal's website, and as reading the systematic review articles published in volume 3, issue 3 and 2 of 2016, I found out that there was no reference to the PRISMA statement at all.3-10 Although, several studies have reported the lack of compliance with PRISMA.11-14 It is expected that in the near future the IJMR publishes systematic review articles that follow the PRISMA checklist.